| NPI | 1639543846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MT 159360) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: UT 7313214-4405) |
| Enumeration Date | 2015-11-26 |
| Last Update Date | 2020-06-10 |