| NPI | 1144554569 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 077819) | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AZ 077819) | 
| Enumeration Date | 2009-10-01 | 
| Last Update Date | 2023-08-29 |