| NPI | 1588865554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN APN6933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN06933) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-10-15 |