| NPI | 1770862237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP141642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 965863) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2019-12-16 |