NPI | 1497037592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP120804) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 735319) |
Enumeration Date | 2011-09-14 |
Last Update Date | 2021-09-30 |