| NPI | 1356672034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5012720) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA rn181995) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2024-02-29 |