| NPI | 1306346416 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 9372119) | 
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL 9372119) | 
| Enumeration Date | 2018-02-15 | 
| Last Update Date | 2023-06-10 |