| NPI | 1124082581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AR A001701) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 6170) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NE 112006) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX AP110297) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2021-03-29 |