| NPI | 1215699814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA K164836) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IA K164836) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IA K164836) | |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2021-10-11 |