| NPI | 1508151994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 717114) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: TX 717114) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2016-10-25 |