| NPI | 1538439757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: TN 0000016270) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: TN 161882) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: TN APN16270) | |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2017-02-03 |