| NPI | 1417383399 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2014000291) | 
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TN 196668) | 
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 17929) | |
| Enumeration Date | 2013-09-23 | 
| Last Update Date | 2024-06-11 |