| NPI | 1881319481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 13151507-4605) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NC 283265) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2023-02-23 |