| NPI | 1396619078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA NP324415) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11043190) |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-11-11 |