| NPI | 1003421033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NY 350505) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: NY 687171) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-16 |