| NPI | 1366602443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 1918702) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN1918702) |
| 363L00000X Nurse Practitioner (Licence: FL 1918072) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2021-06-07 |