| NPI | 1306809322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: VA 0024166321) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: VA 0001155896) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2025-03-21 |