| NPI | 1609946102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OK R0078629) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OK MIL1-0432-7188) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2025-05-06 |