| NPI | 1053028365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: IN 71013129A) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: IN 28227628A) |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: IN 71013129A) | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2024-10-01 |