| NPI | 1306262506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 35772) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11021927) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AL 1-106123) | |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2024-06-17 |