| NPI | 1982991238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP 129025) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: OH COA.12430-NP) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX RX 18742) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2021-07-29 |