| NPI | 1649243494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX A109911) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 633353) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2023-11-09 |