| NPI | 1609005057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 192767) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC N3164) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: SC N3164) | |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NC 5006210) | |
| 363LN0000X Nurse Practitioner Neonatal (Licence: NC 192767) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2016-10-10 |