| NPI | 1467656454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MT 104742) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 79561) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CO 1619221) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2024-08-01 |