| NPI | 1679974018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP126332) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 603713) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |