| NPI | 1801262969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: SC 19621) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 19621) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2020-10-28 |