| NPI | 1356822357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP138570) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX AP138570) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2021-06-24 |