| NPI | 1538997739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024194418) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350591) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2026-01-07 |