| NPI | 1477006369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP102706) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX RN255695) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |