| NPI | 1417122987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 70472) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MS R856212) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MS R856212) | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2022-03-15 |