| NPI | 1356691471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71014111A) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11016427) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 121279) | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2023-08-04 |