| NPI | 1609943927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ AP6608) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD RN071369) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3768) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-05-12 |