| NPI | 1730613779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: SC 26094) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: AK 119835) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2023-04-13 |