| NPI | 1588906150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5255-033) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 5255-33) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2021-11-29 |