| NPI | 1720161003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3013289) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 120839) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-07-31 |