| NPI | 1104105337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005633) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: VA IN PROCESS) |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: VA IN PROCESS) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2024-08-02 |