| NPI | 1851830350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP132354) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP132354) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2021-02-10 |