| NPI | 1275672396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: ID 58268) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: UT 2203014405) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-08-29 |