| NPI | 1154176105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1215965) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN333580) |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2026-01-27 |