| NPI | 1790895134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 300026) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 300026) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 300026) | |
| 363L00000X Nurse Practitioner (Licence: NC 300026) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-12-15 |