| NPI | 1376823435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1011649) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 908768) |
| 163W00000X Registered Nurse (Licence: NY 575222) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2020-12-29 |