| NPI | 1710990163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP112370) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 641206) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-04-21 |