| NPI | 1356089924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1086366) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1086366) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX F04220508) | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2026-08-17 |