| NPI | 1003469230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2314768) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 45177) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2025-02-20 |