| NPI | 1003996364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP1020925) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 256222) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-07-24 |