| NPI | 1528414620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: SD CP000834) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: AZ 234897) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2024-02-13 |