| NPI | 1245912427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1129704) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1129704) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-02-14 |