| NPI | 1134531122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 670351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 670351) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2024-11-22 |