| NPI | 1013597871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11013767) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WV 108858) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-10-25 |