| NPI | 1780075002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: NY 350506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 694967) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2021-06-22 |