| NPI | 1073730032 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA APRN-NP112295) | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA RN112295) | 
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN112295) | |
| Enumeration Date | 2007-04-19 | 
| Last Update Date | 2025-10-30 |