NPI | 1316785553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1160155) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61545485) |
Enumeration Date | 2024-07-19 |
Last Update Date | 2025-08-26 |