| NPI | 1629304639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7656) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209007853) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209007853) | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2018-05-14 |