| NPI | 1720211105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 930179) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 930179) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2023-12-18 |