| NPI | 1912287871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OR 202101758NP-PP) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F350330-1) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP60326428) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2021-10-23 |