| NPI | 1750043204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 10611444-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 10611444-3102) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2023-09-11 |