| 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 |