| NPI | 1750181541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1203125) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX student) |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-06-11 |