| NPI | 1801397013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1088687) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 842777) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2022-08-16 |