| NPI | 1104901289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP003505J) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LM-0000160) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: PA VP003505J) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA VP003505J) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-05-30 |