| NPI | 1588215776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP143161) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP143161) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2024-06-25 |