| NPI | 1417971912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 028145) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: IL 028145) |
| 363L00000X Nurse Practitioner (Licence: PA SP028660) | |
| 363LN0000X Nurse Practitioner Neonatal (Licence: TN 11733) | |
| 363LN0000X Nurse Practitioner Neonatal (Licence: LA 225161) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-03-05 |