| NPI | 1730419169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 17526) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO NP.10083) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CO np-10083) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO np-10083) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: CO NP-10083) | |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2025-10-23 |