| NPI | 1174984611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1077037) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 1077037) |
| 163W00000X Registered Nurse (Licence: PR 32419) | |
| 163W00000X Registered Nurse (Licence: TX 923310) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: PR 21520634) | |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2022-05-25 |