| NPI | 1790286961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO APN.0996141-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704397129) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA AP09802) | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2025-08-21 |