| NPI | 1164445375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP114035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 619351) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2019-03-19 |