| NPI | 1598266991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP144629) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 850876) |
| 363L00000X Nurse Practitioner (Licence: TX AP144629) | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2022-02-28 |