| NPI | 1760781215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP127768) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 616042-1) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382185-1) | |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2016-04-26 |