| NPI | 1073948998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010000) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 2582102) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2024-10-30 |