| NPI | 1174895353 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID NP-1112A) | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: ID NP-1112A) | 
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MT NUR-APRN-LIC-161736) | |
| Enumeration Date | 2012-02-02 | 
| Last Update Date | 2024-02-22 |