| NPI | 1265526537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 113299) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WI 93316-030) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-01-19 |