| NPI | 1255461539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SD 000493) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R27707) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-04-03 |