| NPI | 1093365660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 2019035272) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KS 53-78962-041) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2021-04-01 |