| NPI | 1669278354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1213625) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: TX 983428) |
| Enumeration Date | 2025-02-22 |
| Last Update Date | 2025-09-19 |