| NPI | 1730519950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP124529) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 720903) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2026-05-28 |