| NPI | 1356722516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-119318) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AL 1-119318) |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2025-04-02 |