| NPI | 1801378310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1111882) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TX 940461) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2023-03-01 |