| NPI | 1336329820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71004643A) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209.006805) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IN 71004643A) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2024-01-15 |