| NPI | 1477815264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NH 077071-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024170073) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2021-02-18 |