| NPI | 1558632257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CT 4926) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 4926) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 004926) | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2023-01-19 |