| NPI | 1801405436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1134535) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 804878) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2023-11-07 |