| NPI | 1700420346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1177438) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11004860) |
| 163W00000X Registered Nurse (Licence: PA RN782149) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: FL 11004860) | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2025-09-29 |