| NPI | 1639857766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018396) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 104712124) |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5018396) | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-10-04 |