| NPI | 1447331277 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX AP112503) | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 583557) | 
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP112503) | |
| Enumeration Date | 2006-10-18 | 
| Last Update Date | 2023-07-27 |