| NPI | 1669712535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 8975-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 194720-30) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2024-05-02 |