| NPI | 1427546852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MO 2018025958) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: MO 2008020275) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2021-06-09 |