| NPI | 1427307883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA RN285517) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4972) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 4970-33) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2019-07-23 |