| NPI | 1548412018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP117299) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 702280) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2021-01-26 |