| NPI | 1538654561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP1065839) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0993805-NP) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-09-05 |