| NPI | 1437711876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1140664) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: LA 124754) |
| Enumeration Date | 2019-07-06 |
| Last Update Date | 2023-11-01 |