| NPI | 1467847871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010250) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 99797) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5010250) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2018-05-11 |