| NPI | 1093673550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1111567) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: TX 1111567) |
| Enumeration Date | 2026-01-13 |
| Last Update Date | 2026-01-14 |