| NPI | 1083054449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: CT 7996) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP030084) |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: OH COA.14678-NP) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2025-08-06 |