| NPI | 1790730265 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 9262961) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2472047) | 
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA sp007682) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL ARNP9262961) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MN 2472047) | |
| Enumeration Date | 2006-05-23 | 
| Last Update Date | 2024-02-26 |