| NPI | 1760088090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1049938) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 915268) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2023-06-30 |