| NPI | 1750866745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP138928) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: TX AP138928) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-12-06 |