| NPI | 1649757089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8305936-4405) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 8305936-4405) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2025-05-21 |