NPI | 1265838841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP126271) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126271) |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX AP126271) | |
Enumeration Date | 2014-11-10 |
Last Update Date | 2015-01-23 |