| NPI | 1558731612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 26470) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5008046) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 26470) | |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2022-03-24 |