| NPI | 1699461277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2003015615) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 2003015615) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |