| NPI | 1285276352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 8533) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CT 8533) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2020-04-20 |