| NPI | 1275667834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP000382) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: SD SD-CNP CP000382) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-04-30 |