| NPI | 1598010829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP122355) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 758751) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2019-01-21 |