| NPI | 1033359427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP117732) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP117732) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2024-06-13 |