| NPI | 1861633273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 201393469NP-PP) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL ARNP9254191) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2023-11-29 |