| NPI | 1760071724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5015202) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: NC 232757) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2023-07-27 |