| NPI | 1932353414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SC 2542) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 2542) |
| 363L00000X Nurse Practitioner (Licence: NC 5005540) | |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2018-10-29 |