| NPI | 1134477177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 2012028452) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 155664) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2022-05-16 |