| NPI | 1881806859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 738283) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 738283) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-08-02 |