| NPI | 1023594009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP138285) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX TEMP) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2021-01-25 |