| NPI | 1417635780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2023027195) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-82243-041) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |