| NPI | 1396956215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 356549-4405) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 356549-4405) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2025-09-12 |