| NPI | 1720521354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP132668) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TX 772023) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP132668) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2023-08-21 |