| NPI | 1508069535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MS 863416) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MS R863416) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2024-10-01 |