| NPI | 1154049328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 11154) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 11154) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CT 11154) | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2023-08-24 |