| NPI | 1760584940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP110753) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP110753) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-04-08 |