| NPI | 1558729822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP130205) |
| Additional Taxonomies | 2080P0206X Pediatrics Pediatric Gastroenterology (Licence: TX AP130205) |
| 163WE0003X Registered Nurse Emergency (Licence: TX 788378) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2022-12-07 |