| NPI | 1093520280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1190929) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1190929) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-04-01 |