| NPI | 1639728777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 291116) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA RN102011) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2023-06-12 |