| NPI | 1932239811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024165331) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024165331) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0024165331) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024165331) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-06-09 |