| NPI | 1477307478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 1192315) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN98181) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2026-01-08 |