| NPI | 1083284285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 30723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 222061) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 1159319) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-10-04 |