| NPI | 1841664489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP129641) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 729265) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2024-05-10 |