| NPI | 1881908556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP143221) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 004406) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 20674) | |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2023-10-09 |