| NPI | 1619501376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1235083) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1235083) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95020071) | |
| 363L00000X Nurse Practitioner (Licence: CA 95020071) | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2026-06-18 |