| NPI | 1982295754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1014922) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1014922) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2025-07-02 |