| NPI | 1831861889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1055857) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1055857) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-10-05 |