| NPI | 1790940633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: TX 517550) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 517550) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2012-03-09 |