| NPI | 1265195960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71011948A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1106947) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-11-30 |