| NPI | 1679109458 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MS 903788)  | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MS 903788)  | 
| Enumeration Date | 2020-03-12 | 
| Last Update Date | 2021-04-15 |