| NPI | 1811284813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11003847) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KS 75411) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2023-03-08 |