| NPI | 1508044140 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5001624)  | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5001624)  | 
| Enumeration Date | 2008-02-06 | 
| Last Update Date | 2024-07-15 |