| NPI | 1811017841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 124206) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209015916) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2022-05-16 |