| NPI | 1629609342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: TN 27162) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: TN 27162) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2024-04-30 |