| NPI | 1750699161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: FL APRN11004549) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: CT 4178) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2022-10-11 |