| NPI | 1679710321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO RN0071062) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CO 71062) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 5375036111) | |
| Enumeration Date | 2009-01-17 |
| Last Update Date | 2021-02-17 |