| NPI | 1831741560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP025840) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WV 103765) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2025-10-24 |