| NPI | 1124218490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MS 863420) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS R863420) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2022-07-21 |