| NPI | 1649166828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1205203) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 872318) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-25 |