| NPI | 1972833523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP125849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125849) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 643519) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2024-08-13 |