| NPI | 1396946919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3016358) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704192085) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AZ RN164307) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2021-12-16 |