| NPI | 1538767488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1018335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F09201365) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2025-12-12 |