| NPI | 1124838370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1186371) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 1186371) |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-29 |