| NPI | 1447822994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1004299) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 1004299) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2023-08-31 |