| NPI | 1568515757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD AC002071) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 930202) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2025-04-17 |