| NPI | 1205380805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN275966) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024173761) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2023-03-14 |