| NPI | 1265959662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP61341754) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11022749) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH APRN.CNP.021718) | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2024-04-23 |