| NPI | 1083614242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 607323) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5024719) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2026-07-07 |