| NPI | 1053701052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 19537) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 19537) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 19537) | |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2025-04-30 |