| NPI | 1417002486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 169280) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 169280) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 9401361) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 15561) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2016-10-13 |