| NPI | 1952554289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 1896-33) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: WI 130979-030) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: WI 1896-33) | |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2021-11-30 |