| NPI | 1972273498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1057082) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 804832) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 804832) | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-10-15 |