| NPI | 1356657191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: TN 29586) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: TN 138028) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2022-03-24 |