| NPI | 1245584069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1083188) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 20324) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1083188) | |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2023-11-17 |