| NPI | 1740756931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: WV APRN70592) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0001231628) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2021-10-19 |