| NPI | 1700167160 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 199805-4405) | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 199805-4405) | 
| Enumeration Date | 2011-08-30 | 
| Last Update Date | 2025-05-29 |