| NPI | 1346860996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: ID 65340) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 7988173-3102) |
| 363L00000X Nurse Practitioner (Licence: MI 4704396080) | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2023-11-03 |