| NPI | 1043968035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1041041) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 1041041) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2024-11-06 |