| NPI | 1013780741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WV 117632) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024193324) |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2025-04-23 |