| NPI | 1871822916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 700962) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 700962) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2013-08-06 |