| NPI | 1831379627 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP144149) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 645189) | 
| 163WC1500X Registered Nurse, Community Health (Licence: CA 645189) | |
| 163WS0200X Registered Nurse, School (Licence: CA 645189) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 19642) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP144149) | |
| Enumeration Date | 2007-11-08 | 
| Last Update Date | 2025-06-10 |