| NPI | 1184312852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95033389) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1116354) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2025-04-02 |