| NPI | 1003019969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP115846) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 660544) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-11 |