| NPI | 1134127640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 63297) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 221071-4405) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 10044839) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MT NUR-APRN-LIC-197380) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 221071-4405) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2025-09-25 |