| NPI | 1790039964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL ARNP9273423) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9273423) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2025-01-13 |