| NPI | 1831442490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: TX AP121376) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 541988) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2016-04-19 |