| NPI | 1629610076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 79045) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 79045) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2022-05-20 |