| NPI | 1083704373 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 12746650-4405)  | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71013858A)  | 
| 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11015032)  | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP010461)  | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NJ NJ000857)  | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350530)  | |
| Enumeration Date | 2006-10-15 | 
| Last Update Date | 2024-05-21 |