| NPI | 1609407642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX AP144716) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP144716) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2024-01-25 |