| NPI | 1164623948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11017316) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 3422582) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2023-10-12 |