| NPI | 1801422654 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 37896)  | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11026446)  | 
| 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP030295)  | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: SC APN.24973)  | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA RN309509)  | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: SC APRN24973)  | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VA APRN0024185418)  | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: ND R53676)  | |
| Enumeration Date | 2020-03-12 | 
| Last Update Date | 2025-07-17 |