| NPI | 1629472972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL ARNP9265791) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9265791) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2020-10-26 |