| NPI | 1346515962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-1473A) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: ID N-40962) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2022-02-17 |