| NPI | 1235191602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OK R0064236) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 16011) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2024-12-03 |