| NPI | 1316657778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209026401) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 15195-33) |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2024-08-22 |