| NPI | 1649766379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: NC 245261) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010758) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: NC 5010758) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2024-03-20 |