| NPI | 1235764556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11027469) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 209-020558) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2023-11-06 |