| NPI | 1841615770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5015884) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024186415) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209.011198) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5015884) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209.011198) | |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2023-05-25 |