| NPI | 1467022129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MO 2021024668) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KS 53-80256-101) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-07-29 |