| NPI | 1174940423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP125423) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP125423) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 780060) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-06-07 |