| NPI | 1699009969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11030479) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL 11030479) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 7056) | |
| 363L00000X Nurse Practitioner (Licence: NC 11030479) | |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2025-09-29 |