| NPI | 1609177211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10939607-4405) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 6227) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2025-06-04 |