| NPI | 1801556055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: GA RN290181) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN290181) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2022-05-25 |