| NPI | 1700118916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP138909) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL RN9277768) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2023-05-11 |