| NPI | 1417645656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 14067982-4405) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: UT 10380554-3102) |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2025-02-12 |