| NPI | 1922467869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1067911) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR AA04678) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A004678) | |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2023-06-15 |