| NPI | 1639689870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP135283) |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: TX AP135283) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-11-07 |