| NPI | 1437569357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP129629) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: PA SP013759) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2022-03-31 |