| NPI | 1760951339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 25660) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VA 0024176869) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2021-09-03 |