| NPI | 1750600466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ RN095639) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 10041216) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2025-03-25 |