| NPI | 1528087343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 657359) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 657359) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-01-30 |