| NPI | 1982942728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MN 2490031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 8276) |
| 163W00000X Registered Nurse (Licence: MN 2490031) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: TX 750322) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MN 8276) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 8276) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 750322) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP122297) | |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2022-03-01 |