| NPI | 1568915650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7066-33) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 7066 - 33) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2021-12-07 |