| NPI | 1174817563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71003359A) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704420790) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: OH APRN.CNP.0037680) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1180384) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2024-12-02 |