NPI | 1578949202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP132564) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382542-1) |
Enumeration Date | 2015-08-04 |
Last Update Date | 2021-01-07 |