| NPI | 1306695432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1168950) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 944027) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-07-17 |