| NPI | 1871055707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN300063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-166605) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2021-07-30 |