| NPI | 1497290035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95011875) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP017028) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA SP017028) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2019-07-05 |