| NPI | 1467862524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 18699) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 759674) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2022-03-22 |