| NPI | 1487031530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-130700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN247583) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: AL 1-130700) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN247583) | |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2018-04-10 |