| NPI | 1629674163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 29594) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN299055) |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2023-03-09 |