| NPI | 1659404234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 638677) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 638677) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-12-29 |