| NPI | 1336826742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024189203) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 936014) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1127357) | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2024-03-15 |