| NPI | 1508310707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2016029499) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 123002) |
| 163W00000X Registered Nurse (Licence: MO 154638) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 77350) | |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2024-06-25 |