| NPI | 1336279538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 426) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: SD 0100) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: OK 230324) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11042212) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 10047389) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2026-08-03 |