| NPI | 1407364904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA 228725) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: AL 1-143661) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-03-27 |