| NPI | 1033518964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP126202) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 765938) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2024-09-19 |