| NPI | 1912195629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 752271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN086068) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP116843) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2017-07-10 |