| NPI | 1811393309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA NP95008727) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95008727) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP014605) | |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2023-04-12 |