| NPI | 1497225478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX AP139365) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 747314) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2021-10-28 |