| NPI | 1518277961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP118982) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 724311) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 724311) | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2024-04-10 |