| NPI | 1659062404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA 202009) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1233734) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2026-05-19 |