| NPI | 1942529763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 15827) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN APN15827) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2022-03-30 |