| NPI | 1073091336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1038056) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 855511) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2025-05-14 |