| NPI | 1780062406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP128132) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 764986) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2022-01-25 |