| NPI | 1235644360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024175729) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VA 0001255692) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2018-01-11 |