| NPI | 1134657042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD AC008102) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 55748) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2025-10-10 |