| NPI | 1811129539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 0010112) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 166737) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2022-05-06 |