| NPI | 1386849677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP111076) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP111076) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 653122) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2024-06-13 |