| NPI | 1124294053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: KY 3004802) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: KY 3004802P) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2018-09-12 |