| NPI | 1972571222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350568) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL ARNP2212012) |
| Enumeration Date | 2006-03-12 |
| Last Update Date | 2023-05-03 |