| NPI | 1881936912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 6749201) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 674920) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2019-04-23 |