| NPI | 1154882793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: AR 213270) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: AR R099374) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2020-11-11 |