| NPI | 1831976141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 1044167271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN298038) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2025-12-10 |