| NPI | 1659088094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1100631) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 852602) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-12-12 |