| NPI | 1417612441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 35893) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AL 3-000722) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2024-04-10 |