| NPI | 1366098949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP142131) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX AP142131) |
| Enumeration Date | 2019-08-10 |
| Last Update Date | 2022-07-22 |