| NPI | 1063770147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: SC 18835) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NC 5005582) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2019-05-22 |