| NPI | 1801621818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 9444566-4405) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 9444566-3102) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2026-03-16 |