| NPI | 1821369786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 6595) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 278375) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2025-05-29 |