NPI | 1811076417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP115181) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 663926) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2021-09-22 |