| NPI | 1588379457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: ID 75622) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: AZ RN105745) |
| 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: ID 75622) | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-04-25 |