| NPI | 1811162472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NC 5003984) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 211135) |
| 208M00000X Hospitalist (Licence: NC 5003984) | |
| 363L00000X Nurse Practitioner (Licence: NC 5003984) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2023-05-25 |