| NPI | 1669597852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 9454317-8900) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 681767) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-04-06 |