| NPI | 1073858338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP122617) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 743287) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX ap122617) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2023-03-28 |