| NPI | 1548240989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3003720) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN APN0000012068) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3720P) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KY 3003720) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2021-10-15 |