| NPI | 1285469734 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 7498242-3102)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7498242-4405)  | 
| Enumeration Date | 2024-09-04 | 
| Last Update Date | 2025-04-23 |