| NPI | 1720846884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 9807590-4405) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 9807590-3102) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 9807590-4405) | |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2025-05-21 |