| NPI | 1932436045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WY 120211001) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WY 120211001) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WY 120211001) | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2021-01-11 |