| NPI | 1407724263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX 1214031) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1214031) |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2026-03-25 |