| NPI | 1770681561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 930178) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 167621) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-01-07 |