| NPI | 1902236227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP124621) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP124621) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2025-03-17 |