| NPI | 1851913628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 4024172) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: KY 1138388) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2024-08-20 |