| NPI | 1801461116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: MO 2021027681) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: KS 53-80360-081) |
| 163W00000X Registered Nurse (Licence: KS 13-115303-081) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-07-29 |