| NPI | 1265955041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 22711) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 22711) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-04-03 |