| NPI | 1851798896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP126931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 789378) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP126931) | |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |