| NPI | 1235784554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 8369) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CT 12.008369) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MA RN2347577) | |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2021-04-13 |