| NPI | 1902147812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5006086) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2375571) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5006083) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5006086) | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2023-03-09 |