| NPI | 1235622457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-78242) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: KS 13-111225) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |