| NPI | 1720254089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 3451) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3451-033) |
| 363L00000X Nurse Practitioner (Licence: MN R156034-5) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2021-12-01 |