| NPI | 1629362116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL 9228503) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 9228503) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2020-03-05 |