| NPI | 1205160611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11026492) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP009727) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: ND R50998) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 78335) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2024-11-11 |