| NPI | 1760499727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 930041) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 930041) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NE 110477) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2022-05-10 |