| NPI | 1851695845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 102254) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209008270) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IL 209008270) | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2024-12-04 |