| NPI | 1316418916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2019030586) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: TN 25226) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 25226) | |
| Enumeration Date | 2018-12-09 |
| Last Update Date | 2020-10-02 |