| NPI | 1689829715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SC 17972) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP004002J) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2021-01-28 |