| NPI | 1215181490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 2861612) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 2861612) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL 2861612) | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2020-03-11 |