| NPI | 1295626414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10846157-4405) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 10846157-4405) |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2026-05-07 |