NPI | 1164738209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP131360) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP19794) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP19794) | |
Enumeration Date | 2010-08-26 |
Last Update Date | 2017-01-16 |