| NPI | 1164946976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2017024382) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-77792-041) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2024-06-05 |