| NPI | 1346015849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1156436) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 2023041526) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2024-09-10 |