| NPI | 1871885590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 748646) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX AP120269) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2022-11-07 |