| NPI | 1902232861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP124417) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 634240) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2023-07-14 |