| NPI | 1528772001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY 350563) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 764484-1) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-11 |