| NPI | 1770255143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: MD AC005523) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VA 0024182784) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2023-08-07 |