| NPI | 1154175172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1195993) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 518586) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2025-09-03 |