| NPI | 1720602089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2020034785) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MO 2016019693) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: KS 13-135754-022) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-80082-022) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2024-01-12 |