| NPI | 1114632130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2024036070) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024185283) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2025-02-04 |