| NPI | 1184312852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1116354) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95033389) |
| 363L00000X Nurse Practitioner (Licence: TX 1116354) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2026-02-24 |