| NPI | 1093269318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024179051) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 112077) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2021-08-02 |