| NPI | 1477064384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5020558) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 9274200) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2024-10-15 |