| NPI | 1063230506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: FL APRN11038005) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: FL RN9516596) |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2025-05-03 |