| NPI | 1477224756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1037464) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 858917) |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2022-11-17 |