| NPI | 1003507716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11023277) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023277) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-07-10 |