| NPI | 1811472707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP138555) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP138555) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2021-06-01 |