| NPI | 1033583695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP129251) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 805081) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C142378) | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2018-12-06 |