| NPI | 1720873664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 5121731-4405) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 5121731-4405) |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-11-12 |