| NPI | 1265097752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA N360963716) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP60951850) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2022-11-09 |