| NPI | 1073308565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1179184) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 1179184) |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-10-28 |