| NPI | 1215097795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP60148500) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2007025927) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MN R1777183) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 200350108NNP) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-01-19 |