| NPI | 1184184632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 10785478-4405) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 95-4659390) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2023-10-23 |