| NPI | 1639255425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 540659) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: TX 540659) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2012-10-16 |