| NPI | 1033995675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1135427) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX 1135427) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX 1033995675) | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-10-04 |