| NPI | 1265042170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11019673) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP022175) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2022-06-23 |