| NPI | 1164852786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NM CNP01036) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01036) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 95005675) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2026-03-17 |