| NPI | 1851919591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: MO 2020042964) |
| Additional Taxonomies | 163WN0002X Registered Nurse Neonatal Intensive Care (Licence: MO 2008003805) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2021-09-20 |