| NPI | 1104462555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 8693) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CT 163135) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2021-11-12 |