| NPI | 1306217286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: TN 20668) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 168790) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2017-02-24 |