| NPI | 1205229697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5007516) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007516) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2024-03-05 |