| NPI | 1396201588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011493) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 104362999) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5011493) | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2024-08-02 |