| NPI | 1184875163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 1153906) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350347) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2025-09-20 |