| NPI | 1326120312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NV APN002025) |
| Additional Taxonomies | 281PC2000X Chronic Disease Hospital Children (Licence: OH RN-15308) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2022-07-21 |