| NPI | 1508416629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 810497) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP142062) |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: TX AP142062) | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2021-04-09 |