| NPI | 1588247753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 260893) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 7430049-3102) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2022-01-17 |