| NPI | 1467983122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP133407) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: TX AP133407) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2018-11-25 |