| NPI | 1740374354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 510093) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VT 101-0134318) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-06-20 |