| NPI | 1053433102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 740243) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 740243) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 740243) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-07-11 |