| NPI | 1790804763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 201350077NP) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP30007731) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-03-08 |