| NPI | 1760753917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 16352) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA AP09213) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2020-09-15 |