| NPI | 1447523550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2011039394) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-76604-052) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: ND R49991) | |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2021-12-15 |