| NPI | 1417266495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP119167) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 573344) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2019-07-08 |