NPI | 1427339209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP120661) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 754961) |
Enumeration Date | 2011-09-07 |
Last Update Date | 2022-08-18 |