| NPI | 1487998415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3007775) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 300775) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KY 3007775) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2022-09-22 |