| NPI | 1710438825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 37803) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95002034) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2024-12-17 |