NPI | 1114287422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP116809) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 717639) |
Enumeration Date | 2012-05-21 |
Last Update Date | 2015-11-17 |