| NPI | 1194536391 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1191548) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 969369) | 
| Enumeration Date | 2025-01-16 | 
| Last Update Date | 2025-02-25 |