| NPI | 1144744350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SC 23600) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA SP017467) |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2022-10-15 |