| NPI | 1720512114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VA 0001292923) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: LA AP09270) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2021-03-24 |