| NPI | 1629492277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP127107) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP127107) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2021-03-03 |