| NPI | 1144431982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5008719) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024093568) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-12-28 |