| NPI | 1295378743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP001668) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: SD CP001668) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2021-10-14 |