| NPI | 1558898189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2017027586) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: KS 14-115984-011) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 2011017729) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-77670-011) | |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2017-09-26 |