| NPI | 1366023152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: FL APRN11022201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9303297) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2022-10-05 |