| NPI | 1861413585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: WI 21936-875) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: LA RN047884) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: LA RN047884) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-03-07 |