| NPI | 1043890593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 104686380) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-07-16 |