| NPI | 1912091307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NM CNP00374) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM R22065) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-05-19 |