| NPI | 1528371234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP119404) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX 746922) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 746922) | |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2021-06-10 |