| NPI | 1518027473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21100) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA rn148768) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-03-23 |