| NPI | 1568803930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: FL 11024858) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: AL 1-126132) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2023-02-24 |