| NPI | 1386241552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1098947) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 927465) |
| 163W00000X Registered Nurse (Licence: TX 927465) | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-07-03 |