| NPI | 1356422125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 415936) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX 415936) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |