| NPI | 1699380477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1057096) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 662696) |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2024-03-29 |