| NPI | 1396830683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2338970) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 61752) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-05-20 |