| NPI | 1851450159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 13966) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP5053) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP113086) | |
| 208000000X Pediatrics (Licence: TX 113086) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2026-01-09 |