| NPI | 1184404048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 11772478-4405) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: UT 11772478-3102) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2026-03-17 |