| NPI | 1891033023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 21651) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO C-APN.0000039-C-NP) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2018-10-23 |