| NPI | 1396290748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP60699163) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704366904) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2021-08-10 |