| NPI | 1518274570 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ RNP290043) | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP61175117) | 
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP119875) | |
| Enumeration Date | 2010-09-10 | 
| Last Update Date | 2023-05-17 |