| NPI | 1407136054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2752-033) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 2725) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 041-228474) | |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2018-03-17 |