| NPI | 1083083992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP036444) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX AP128971) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP128971) | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2026-08-28 |