| NPI | 1477614626 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP1700X Nurse Practitioner, Perinatal (Licence: MD R144543) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R144543) | 
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MD R144543) | |
| Enumeration Date | 2006-12-12 | 
| Last Update Date | 2025-09-11 |