| NPI | 1780296632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013670) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NC 314952) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5013670) | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2023-08-23 |