| NPI | 1063666287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 186440) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 186440) |
| 363L00000X Nurse Practitioner (Licence: NC 930204) | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2023-08-30 |