| NPI | 1164754586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: MD R136634) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R136634) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2022-05-26 |