| NPI | 1164625364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 930230) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 930137) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-10-29 |