| NPI | 1952558033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA sp009792) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 0000020000) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5006161) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN20000) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2020-12-21 |