| NPI | 1144694423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP129695) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 570771) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2019-03-15 |