| NPI | 1154499507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: FL ARNP3174732) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: FL ARNP 3174732) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: FL 3174732) | |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2021-08-31 |