| NPI | 1912251539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NC 5005919) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: NC 5005919) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2022-07-21 |