| NPI | 1881673655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP116871) |
| Additional Taxonomies | 163WX0601X Registered Nurse, Otorhinolaryngology & Head-Neck (Licence: TX 679627) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2021-08-10 |