| NPI | 1811794621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 1190697) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 968565) |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-05-14 |