| NPI | 1104682459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11046385) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9457063) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2026-04-02 |