| NPI | 1326824764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1222088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 950656) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2026-01-02 |