| NPI | 1780301853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MD AC005391) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VA 0001236200) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-07-21 |