| NPI | 1639509581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL ARNP3822626) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9282626) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2017-11-16 |