| NPI | 1104331099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 9143503-4405) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: UT 9143503-3102) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2023-06-21 |