| NPI | 1730482431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 12071) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 12071) |
| Enumeration Date | 2010-12-19 |
| Last Update Date | 2023-03-28 |