| NPI | 1851814784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1120479) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM RN-79722) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM CNP-03317) | |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2023-05-19 |