| NPI | 1457745788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP127133) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: TX L-318517) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2025-06-25 |