| NPI | 1134797012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: PA SP029746) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: OH 0029088) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-05-29 |