| NPI | 1679166862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 5014118) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5014118) |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2025-07-22 |