| NPI | 1689630113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5004687) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F350154-1) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NY F350154) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2022-03-30 |