| NPI | 1336393099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NC 930180) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: NC 103900) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: TN 14750) | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2020-07-08 |