| NPI | 1669142550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP034707) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 0000029742) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2026-01-06 |