| NPI | 1215582481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 30792) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11003576) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2022-04-19 |