| NPI | 1861890873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6150) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 6150-33) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2020-05-19 |