| NPI | 1437607322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP132096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 813370) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: TX 813370) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP132096) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2024-01-25 |