| NPI | 1801237391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 510151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 510151) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2020-12-15 |