| NPI | 1669499455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 256358) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: TX 256358) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2011-08-25 |