| NPI | 1538254198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 45376) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9781) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-01-07 |