| NPI | 1013789890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1092270) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1092270) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1092270) | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-12-21 |