| NPI | 1043617665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209014221) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2014040196) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2021-12-10 |