| NPI | 1235561523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9366186) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL ARNP9366186) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2019-07-26 |