| NPI | 1952660144 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L1-0033857) | 
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: PA SP012019) | 
| Enumeration Date | 2012-05-09 | 
| Last Update Date | 2019-10-09 |