| NPI | 1992882906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 136096474405) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11026789) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP15851) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-11-28 |