| NPI | 1336763234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1003115) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 989873) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-11-14 |