| NPI | 1740460906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11027144) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN122247) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 11787) | |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2025-06-09 |