| NPI | 1346688306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP123972) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201401242NP-PP) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2019-02-07 |