| NPI | 1053585638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 122339) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 930229) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2024-12-10 |