| NPI | 1578692927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP109276) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP109276) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2024-06-28 |