| NPI | 1336831189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 104550020) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CO 0191760) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-06-29 |