| NPI | 1457675068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP109719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP109719) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2018-03-17 |