| NPI | 1841599727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OK 70746) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 75041) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2018-02-28 |