| NPI | 1841849080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11004385) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AL 1-093081) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350485) | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2024-06-17 |