| NPI | 1164776415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2013000714) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 75692) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2020-11-10 |