| NPI | 1316140510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 202103325NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5001635) |
| 363L00000X Nurse Practitioner (Licence: SC 225182) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-12-02 |