| NPI | 1568862019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MS R863617) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA AP08788) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2021-03-03 |