| NPI | 1437110202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP106709) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 532828) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-06-18 |