| NPI | 1982984837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2011026175) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5009133) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2022-05-16 |