| NPI | 1497288856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 24388) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AL 1-108586) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2022-03-25 |