| NPI | 1508498841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1018605) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 225530) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2023-03-23 |