| NPI | 1386113025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP028535) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA NP95017275) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: DE L10052154) | |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2024-10-31 |