| NPI | 1093477952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 39349) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: GA RN328033) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 39349) | |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2025-10-07 |