| NPI | 1174958045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 130089) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 5428) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2020-09-15 |