| NPI | 1730466053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA AP06220) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP06220) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX AP130435) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: LA PA040129) | |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2023-05-15 |