| NPI | 1578533444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN APN7458) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MS 81-0071) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-03-22 |