| NPI | 1639503642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 104406273) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 667876) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2020-09-25 |