| NPI | 1790743920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL ARNP9363817) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TX 668224) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 930190) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 9363817) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-12-31 |