| NPI | 1639536832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: LA AP08482) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: NC MIST-15VE7N) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2020-10-06 |