| NPI | 1831425693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX ap11849) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 691424) |
| 172A00000X Driver | |
| 363L00000X Nurse Practitioner (Licence: TX AP118149) | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2023-08-03 |