| NPI | 1013018142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP112007) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 574307) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 574307) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-02-02 |