| NPI | 1073636858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY F350052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 201673-1) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2025-09-11 |