| NPI | 1154646917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP118445) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP118445) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 588553) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2021-04-13 |