| NPI | 1487024279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP129167) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP129167) |
| 363L00000X Nurse Practitioner (Licence: TX 777367) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 777367) | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2024-03-08 |