| NPI | 1851642680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 544351) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11038742) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2025-12-17 |