| NPI | 1720250566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: KY 3004965) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: FL APRN11031284) |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: KY 4965P) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2024-06-05 |