| NPI | 1750907770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM 60802) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM AP145919) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP145919) | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2024-12-01 |