| NPI | 1366637464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA AP02914) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP02914) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2020-11-09 |