| NPI | 1558804914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP132285) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 731496) |
| 363L00000X Nurse Practitioner (Licence: TX AP132285) | |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2024-10-08 |