| NPI | 1740790849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP134741) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX AP134741) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: TX AP134741) | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2023-07-12 |