| NPI | 1154952547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AL 1-118660) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95037449) |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2025-10-27 |