| NPI | 1326465659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7159) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA RN233075) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2020-01-27 |