| NPI | 1841518487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 122908) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 122908) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9254008) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2024-05-04 |