| NPI | 1114620341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 37767) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: MS 910621) |
| 363LF0000X Nurse Practitioner Family (Licence: MS 907057) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-07-17 |