| NPI | 1649856592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209.022495) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: IL 041.429862) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2022-04-20 |