| NPI | 1336683127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: WI 621333) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 115754030) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2023-12-26 |