| NPI | 1780002980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3008369) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008369) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71004874A) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-04-22 |