| NPI | 1235580374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2017033626) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: ID 54302) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 54302) | |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2018-03-17 |