| NPI | 1356069744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13075-033) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: WI 13075-33) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2024-08-29 |