| NPI | 1619342235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NM 84937) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 84937) |
| 363L00000X Nurse Practitioner (Licence: UT 48753964405) | |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2025-08-29 |