| NPI | 1225199599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 990289) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA RN448312) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA RN448312) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-12-18 |