| NPI | 1144596719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP60317794) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 201250194NP) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2022-07-21 |