| NPI | 1396341459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007850) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL RN9305827) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |