| NPI | 1477947042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: FL APRN11016489) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: NY 350545) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 382540) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2023-01-23 |