| NPI | 1396312278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 9655874-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 9655874-3102) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-08-24 |