| NPI | 1013284298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209004668) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO APN.0997258-NP) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2022-02-18 |