| NPI | 1104220292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 36733) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL ARNP9311068) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2024-09-05 |