| NPI | 1558147165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 188184) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 302871) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2024-01-30 |