| NPI | 1023696325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1036979) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA ARNP.AP.61146151) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2024-06-24 |