| NPI | 1457515710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9922) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NE 110950) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WV 102057) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: ID 56747) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP60929143) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2020-03-19 |