| NPI | 1356784276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP123301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 728524) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2022-08-30 |