| NPI | 1487973772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC rn1019138) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 896859) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP130979) | |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2020-12-21 |