| NPI | 1083863609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AR A03324) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 632703) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2010-08-31 |