| NPI | 1740940162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1046641) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 1046641) |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2024-02-28 |