| NPI | 1063607810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY F350070) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9338654) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2025-05-02 |