| NPI | 1982845483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1087542) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019044430) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MO 2019044430) | |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2023-03-29 |