| NPI | 1548508104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AL 1-111605) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11014285) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AL 1-111605) | |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2022-02-09 |