| NPI | 1093422628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL PA9116790) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2025-12-22 |