| NPI | 1508531856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 12113187-4405) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: UT 12113187-4405) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-12-17 |