| NPI | 1235482522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 15125) |
| Additional Taxonomies | 282NW0100X General Acute Care Hospital, Women (Licence: TN 15125) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2020-05-05 |