| NPI | 1437556032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP127414) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX 842429) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2015-02-05 |