| NPI | 1568918050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP132281) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 860111) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-11-11 |