| NPI | 1306616172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IA K180421) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1139735) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA K180421) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IA K180421) | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2025-10-16 |