| NPI | 1083735088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 075909) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209024106) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-01-10 |