| NPI | 1770154809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3016825) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: KY 1131777) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-10-15 |