| NPI | 1962987834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 103196-875) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MT 129931) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2025-12-19 |