| NPI | 1588621304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ RN 079301) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1183311) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-09-16 |