| NPI | 1528733912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 11813053-4405) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 11813053-4405) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NY 806893) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024188152) | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2025-12-18 |