| NPI | 1659567865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: LA AP05440) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: LA RN099019) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: LA AP05440) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2024-08-09 |