| NPI | 1649949983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL 11015384) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CO 0129308) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-11-28 |