| NPI | 1720581168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP138853) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP138853) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95007180) | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2026-01-06 |