| NPI | 1780818955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IA K-093305) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 2002008449) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2021-09-10 |