| NPI | 1851995054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1028632) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 840114) |
| Enumeration Date | 2020-11-28 |
| Last Update Date | 2021-06-09 |