| NPI | 1154094019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 11115-33) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 11115) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2022-02-11 |