| NPI | 1659146074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AK 217148) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: AK 137133) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2024-03-01 |