| NPI | 1043864580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: GA RN248311) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: GA RN248311) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2020-04-16 |