| NPI | 1821637992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0024178720) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001274525) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-02-06 |