| NPI | 1578665030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP112853) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP112853) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2024-05-09 |