| NPI | 1851826176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA RN093825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN093825) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2021-04-17 |