| NPI | 1588080931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: CO APN.0994207-NP) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: PA SP012678) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2022-04-25 |