| NPI | 1487227914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1029383) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TX 1029383) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2022-03-07 |