| NPI | 1710268214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2017004620) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL RN9269248) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2022-11-21 |