| NPI | 1396633202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95035227) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95035227) |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-09-17 |