| NPI | 1740422351 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 930194) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 930194) | 
| Enumeration Date | 2009-03-27 | 
| Last Update Date | 2025-02-10 |