| NPI | 1487029195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MD R227393) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: CT 6398) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2023-09-01 |