| NPI | 1942942784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1073327) |
| Additional Taxonomies | 163WP0218X Registered Nurse Pediatric Oncology (Licence: TX 894981) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-05-13 |