| NPI | 1053359091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO NNP 118354) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NM 81603) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-11-18 |