| NPI | 1801135991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5006889) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 244127) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NC PIN104376005) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NC PIN104376005) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MA RN2311056) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC PIN104376005) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 244127) | |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2019-04-27 |