| NPI | 1548984685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185840) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VA 0001281987) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: DC RN1050184) | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2023-01-18 |