| NPI | 1750583498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2009035829) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 097194) |
| 363L00000X Nurse Practitioner (Licence: KS 44430) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2018-10-31 |