| NPI | 1235158445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP118277) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9167933) |
| 363L00000X Nurse Practitioner (Licence: TX AP118277) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-06-13 |