| NPI | 1942713789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NM CNP-03408) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134714) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP134714) | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2023-12-13 |