| NPI | 1972583086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3002799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1057765) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-10-19 |