| NPI | 1629136056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 76929) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2014010578) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-11-09 |