| NPI | 1699213140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: TX AP133166) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133166) |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2025-01-24 |