| NPI | 1407184831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024168702) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WV 62992) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2025-05-13 |