| NPI | 1568986537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7976-33) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: IL 209016120) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2024-04-08 |