| NPI | 1831152875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 010852) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 010852) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: GA 92336) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2019-08-06 |