| NPI | 1528480548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 5256) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 5256) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2025-02-04 |