| NPI | 1619161916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71004785A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-005901) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2022-12-11 |