| NPI | 1063386092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1231404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 909393) |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2026-04-17 |