NPI | 1952762916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP129936) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 765130) |
Enumeration Date | 2016-03-17 |
Last Update Date | 2019-03-06 |