| NPI | 1851144083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10029483) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: ID 77664) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-08-20 |