| NPI | 1932601630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP136910) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MT NUR-APRN-LIC-197931) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2025-11-12 |