| NPI | 1902551880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11017923) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11017923) |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2024-02-10 |