| NPI | 1679523146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3002906) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 1075730) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-01-20 |