| NPI | 1699403360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 2271863) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1089696) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2025-07-29 |