| NPI | 1265466783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11025002) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277-000192) |
| 363L00000X Nurse Practitioner (Licence: WI 2632-033) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-06-19 |