| NPI | 1295180578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP09230) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP131336) |
| 163W00000X Registered Nurse (Licence: LA RN142286) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2018-03-17 |