| NPI | 1235818089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 13646193-4405) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: UT 13646193-4405) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2024-07-24 |