| NPI | 1104130236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP3827) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ RN124410) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2020-12-09 |