| NPI | 1922542679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 315091) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 22108) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2025-09-09 |