| NPI | 1134387558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP117669) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000011923) |
| 364S00000X Clinical Nurse Specialist (Licence: TX AP117669) | |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: TX 659941) | |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: TN APN0000011923) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2021-09-03 |