| NPI | 1518015882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NY 350504) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: TX 649624) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2023-03-21 |