| NPI | 1528677911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: WA AP61217885) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: OR 201500245RN) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: OR 202009074NP-PP) | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2022-08-16 |