| NPI | 1679235717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: IA K173263) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: IA K173263) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2023-04-27 |