| NPI | 1841968773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 30152) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 14795) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2023-12-29 |