| NPI | 1629640834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 10691900-4405) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 10691900-3102) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2026-04-16 |