| NPI | 1790999241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NH 035251-23) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: AZ AP2478) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: TX 816727) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-02-17 |