| NPI | 1932392305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NE 110882) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 688581) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2023-09-19 |