| NPI | 1992227847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 782371) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 782371) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2023-05-16 |