| NPI | 1396327383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1046951) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 895447) |
| 363L00000X Nurse Practitioner (Licence: TX 1046951) | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2024-09-05 |