| NPI | 1245831692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WA AP61109348) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1629558) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2021-02-23 |