| NPI | 1205293958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NC 5006870) |
| Additional Taxonomies | 286500000X Military Hospital (Licence: NC 5006870) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2025-07-29 |