| NPI | 1841573565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NY 350329) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 518356) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: NY 350329) | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2017-02-10 |