| NPI | 1255952438 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 6753909-4405)  | 
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 6753909-3102)  | 
| 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 6753909-4405)  | |
| Enumeration Date | 2020-04-29 | 
| Last Update Date | 2025-05-29 |