| NPI | 1356885305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3012898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1642122) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023480) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CO 0992646) | |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2021-12-01 |