| NPI | 1063159812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1193006) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 908889) |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2025-04-19 |