| NPI | 1609526771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1062351) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1062351) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-05-13 |