| NPI | 1316514177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 9434854-4405) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 9434854-3102) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-08-24 |