| NPI | 1134828478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA 229564) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 229564) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2024-09-30 |