| NPI | 1083956940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP123059) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 768719) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2023-04-19 |