| NPI | 1265818462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SD CP001464) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 4044) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MN CNP 4044) | |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2022-04-26 |