| NPI | 1104341213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO APN.0993346-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5013816) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2026-02-04 |