| NPI | 1033793286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3016692) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71011094A) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-11-08 |