| NPI | 1346478252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 703123) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX Ap117846) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2020-04-30 |