| NPI | 1942197322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 6704985-4405) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 6704985-4405) |
| 163W00000X Registered Nurse (Licence: UT 6704985-3102) | |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2026-09-09 |