| NPI | 1255993762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CT 9360) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 9360) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY F350455) | |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2024-04-30 |