| NPI | 1073029013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 9254490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9254490) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2023-01-09 |