| NPI | 1710912738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 225151-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 2251514405) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-01-22 |