| NPI | 1497800197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MO 079972) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 9397573) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MI 4704362095) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-07-15 |