| NPI | 1245351774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 199137795) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209007551) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209007551) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2019-11-13 |